December 2007

All Stories

How to Care for the World’s Poor

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A group of intellectuals concluded that the most effective way to provide medical care to the worlds poor is to...
"If we train village health workers, and make sure they're compensated," he said, "then the resources intended for the world's poorest--from vaccines, to bed nets, to prenatal care, and to care for chronic diseases like AIDS and tuberculosis--would reach the intended beneficiaries."
Thats right,

Near & Dear To My Heart

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At Graham's request, I'll change subjects for a moment to something near and dear to my heart, Down Syndrome. If you're looking for a good cause to support, try buying a book for the young ones in your life.

Near & Dear To My HeartWhen Stephen wrote this book ...

Top 12 Trends for Physicians in 2008

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Dr. Reece blogs about his predictions for physicians in '08...
6. Physician Empowerment - Doctors are re-awakening to the reality they hold the key to effective, efficient, and safe healthcare. They're asserting themselves through legislative efforts to reduce malpractice costs, state medical societies curtailing health plan abuses, social online networking in sites like Sermo, and health care practices offering prompt same-day access and more efficient and friendly ...

Paying for Arnoldcare

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The California Hospital Association is tightening their own noose as they support a 4% hospital tax to pay for Arnoldcare...
CHA leadership has apparently convinced itself that the same bureaucrats who crippled California hospitals by underfunding Medi-Cal are going to change their stripes under Arnoldcare. They actually seem to believe that all of the revenue generated by the tax (and federal matching funds as well) will be set ...

Courts Overturns Key Part of San Fransisco’s Universal Coverage

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Universal health care hits a speed bump in San Fransisco...
Judge White ruled that the employer assessment violates the federal ERISA law (Employee Retirement Income Security Act of 1974) which, among other things, prohibits state and local governments from mandating that employers must provide health insurance to their workers. ERISA was the federal law cited by Maryland and New York federal courts ...

FAQ: Won’t Retainer Medicine Exacerbate Physician Shortages?

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This is a fair question that is commonly asked and, on its face, makes perfect sense: more doctors seeing fewer patients = physician shortage. It is my opinion that the direct medical practices will not only avoid a worsening physician crisis, but drastically increase access to and affordability of health care.
  1. Retention of older physicians who no longer wish to participate in the hamster ...

90% Reduction in Hospital Admissions

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MDVIP is the largest and most organized company practice wide scale retainer medicine today. Their business model is fee for non-covered services, which basically means that the retainer fee is for additional care, not covered by CMS, but Medicare is still billed when appropriate.


One of the common arguments against direct medical practices is the belief that if all doctors converted, then this would greatly ...

Retainer Medicine: Ethical or Not?

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Point:
Some might argue that these "highly ethical physicians" aren't so highly ethical by practicing retainer medicine. One ethical framework would suggest if all physicians just practiced retainer medicine, there would not be nearly enough physicians to go around. In that framework, retainer medicine would be viewed as unethical.

Counterpoint:
If retainer physicians are unethical, then what about physicians who quit seeing patients entirely ...

Dr. Chris Ewin: Fee-for-Care

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Dr. Ewin, the former president of SIMPD discusses different business models for health care.

Feel free to check out his site and see how he has set up his practice...

Simpd: The Society For Innovative Practice Design

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SIMPD is an organization committed to changing the face of primary care in our country. They are the leading voice of a wide number of practice models which fall under the umbrella of direct medical practices. They are a growing group of doctors who felt that they could no longer look their patients in the eyes and honestly say they were providing the best possible care with ...

Defending Innovative Practice Models

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DB asks those knee-jerking nay-sayers to stop and ask themselves why would they object to a win-win model for patients and physicians.

I urge these authors and their ideological colleagues to look beyond the trappings. I urge them to perform a thought experiment. Why are patients increasingly willing to pay? Why are highly ethical physicians opting for this style of practice? If they are ...

Insurance = Prevention

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Another great rant by Dr. Wes...strong work.
So fantastic is insurance at heart attack prevention that the researchers of this important trial never even had to consult a single health record to verify their claims. Not one. From the studies "limitations" section:
"Our study relied on self-reported health measures rather than data from medical records. Although our measure of adverse cardiovascular outcomes summarized related items selected for their ...

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